NARM EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS
4 types of placenta previa Correct Answers total
partial
marginal
low lying placenta
5 steps of pelvimetry Correct Answers assess the depth of the
sacral curve
assess the size of pelvic inlet
assess diagonal conjugate/assess obstetrical conjugate
assess contour of, and distance between, the ischial
spines/interspinous diameter
assess angle, width of pubic arch (done on outside)
6 symptoms of preeclampsia Correct Answers severe HA
epigastric pain
visual disturbances
decreased urine output
extreme nervous irritability
decrease in fetal movement
at what FHT rate does birth need to happen ASAP Correct
Answers 60 bpm
at what level should the ears be in relation to the corner of the
eye of a newborn Correct Answers top of ear equal with corner
,of eye, lower ears are a sign of kidney problems or other
anomalies
at what weight does a stillborn baby need to be in, that a coroner
must be notified Correct Answers 500g + (the coroner signs
the death certificate)
baby hypoglycemia is at what level Correct Answers 50 - 60 is
normal, anything below 30 is serious
baby with apgar at 6 needs? Correct Answers suction, warmth,
and stimmulation via immediate firm massage
blood glucose below what, is an indication to call physician
Correct Answers 45
can ABO incompatibility cause jaundice? Correct Answers
yes, similar to the way Rh sensitization does
cause of varicose veins Correct Answers progesterone relaxing
smooth muscle, hindering venous return to throughout the body
- 800 IU Vit E
causes of first trimester bleeding Correct Answers ectopic,
severe cervicitis, cervical lesions, cervical polyp, postcoital
bleeding, implantation, subchorionic blood, demise of a twin,
rarely h. mole
Causes of IUGR Correct Answers malnutrition, anemia,
chronic HTN, substance abuse, fetal malformation or infection,
, abnormalities of placenta or cord, prolonged pregnancy, chronic
stress
Causes of LGA Correct Answers miscalculated dates, molar,
diabetes, twins, polyhydramnios, maternal obesity, hereditary
predisposition for big babies, fetal anomalies, baby high in
fundus due to placenta previa or abnormal muscle tone, fibroids,
postmaturity
Causes of polyhydramnios Correct Answers multiples
Rh incompatibility
diabetes
fetal anomalies (esophageal atresia, hydrocephaly, anencephaly
or spina bifida)
Causes of premature labor Correct Answers vaginal or urinary
infection - chorioamnionitis
PROM
incompetent cervix
polyhydramnios
multiples
uterine abnormalities
faulty implantation of the placenta
substance abuse
short interval between pregnancies
malnutrition
fetal death
extreme or chronic stress
Causes of second trimester bleeding Correct Answers ruptured
cervical polyp, placental abruption, placenta previa
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